Evidence map›Paper›PMID 30616930›Full record

ArticleAmerican journal of infection control2019

Nosocomial outbreak of influenza A H3N2 in an inpatient oncology unit related to health care workers presenting to work while ill.

Kerry E Wilson, Shannon M Wood, Kurt E Schaecher, Karen B Cromwell, Joan Godich, Melissa H Knapp, Marvin J Sklar, Daniel Ewing, Kanakatte Raviprakash, Gabriel Defang and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05521763 (Seasonal Influenza Vaccine Uptake Among Health Care Workers Following Awareness and Availability of Influenza Vaccine Supply in Tertiary Care Hospitals, Bangladesh), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05521763 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Seasonal Influenza Vaccine Uptake Among Health Care Workers Following Awareness and Availability of Influenza Vaccine Supply in Tertiary Care Hospitals, Bangladesh

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2022 to 2023Enrolled3,000ConditionsInfluenza VaccinesArmsensuring the availability of influenza vaccine supply & developing influenza vaccine awareness
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Considerations for de-escalating universal masking in healthcare centers.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Real-Time Investigation of a Large Nosocomial Influenza A Outbreak Informed by Genomic Epidemiology.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  13. Article
  14. Review
  15. Influenza Vaccination Programs for Healthcare Personnel: Organizational Issues and Beyond.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Kerry E WilsonInfectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD. Electronic address: kerry.e.wilson3.mil@mail.mil.
Shannon M WoodInfectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD.
Kurt E SchaecherDepartment of Microbiology, Walter Reed National Military Medical Center, Bethesda, MD.
Karen B CromwellInfectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD.
Joan GodichInfectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD.
Melissa H KnappDepartment of Emergency Management, Walter Reed National Military Medical Center, Bethesda, MD.
Marvin J SklarDepartment of Viral and Rickettsial Diseases, Naval Medical Research Center, Silver Spring, MD.
Daniel EwingDepartment of Viral and Rickettsial Diseases, Naval Medical Research Center, Silver Spring, MD.
Kanakatte RaviprakashDepartment of Viral and Rickettsial Diseases, Naval Medical Research Center, Silver Spring, MD.
Gabriel DefangDepartment of Viral and Rickettsial Diseases, Naval Medical Research Center, Silver Spring, MD.
Timothy J WhitmanInfectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD.
Walter Reed National Military Medical Center · USNaval Medical Research Command · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe an outbreak of influenza A in an oncology unit, highlighting infection control methods implemented, and examining reasons health care workers (HCWs) present to work with influenza-like illness (ILI).

methodsConfirmed cases were defined by the presence of ILI and a positive nasopharyngeal polymerase chain reaction swab for influenza A H3. Probable cases were defined as exposed HCWs with ILI who were unavailable for polymerase chain reaction testing. Infection prevention measures included closing the ward for new admissions, oseltamivir prophylaxis for all exposed groups, and dismissal from work of HCWs with ILI until resolution of symptoms. An anonymous survey of the cases in our HCWs was conducted to better elucidate reasons behind presenteeism.

resultsOver the course of 8 days (November 16, 2017, to November 22, 2017), influenza was diagnosed in 7 of 10 inpatients on the oncology ward, 16 HCWs (14 confirmed, 2 probable), and 2 visitors. The suspected index case was an HCW. Of the surveyed HCWs, 64% presented to work despite feeling ill (ie, presenteeism). The most common reason was "sense of duty as a health care worker."

conclusionsThis nosocomial outbreak of influenza highlights the challenges of protecting inpatients from viral respiratory tract infections. HCWs and patient visitors with ILI should avoid work or visiting until resolution of peak respiratory symptoms and adhere to strict respiratory etiquette.

Indexed as

Disease OutbreaksHealth PersonnelInfectious Disease Transmission, Professional-to-PatientCross InfectionFemaleHospital DepartmentsHumansInfection ControlInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInpatientsMaleNeoplasmsHospital epidemiologyPresenteeism

Identifiers

PMID30616930
PMCPMC7115309
OpenAlexW2908152716

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.